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Individual

MS. MILAGROS RIVAS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LADC1

Contact information

Practice address
367 PINE ST, SPRINGFIELD, MA 01105-1930
(413) 737-1426
Mailing address
65 GRESHAM ST, SPRINGFIELD, MA 01119-1420
(413) 796-1018

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
956
MA

Other

Enumeration date
02/20/2010
Last updated
02/20/2010
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